Vaginocutaneous fistula: A rare long-term complication of transobturator tape procedure for stress urinary incontinence. Issue 3 (August 2021)

• Record Type: Journal Article
• Authors: Micoogullari, Uygar; Yucel, Cem; Ulker, Volkan; Keskin, Mehmet Zeynel; Celik, Orcun
• Is Part Of: Urologia journal. Volume 88:Issue 3(2021)
• Page Start: 260
• Page End: 262
• Publication Date: 2021-08
• Subjects: Vaginocutaneous fistula -- transobturator tape -- a rare complication -- stress incontinence; Urology -- Periodicals; 616.6005
• DOI: 10.1177/0391560320947260
• Languages: English
• ISSNs: 0391-5603

Abstract

Introduction: Synthetic mid-urethral slings are currently the most common performed surgical procedure for the treatment of female stress urinary incontinence. The transobturator mid-urethral sling technique has been widely accepted owing to its high success and low complication rates. Although complications are rarely seen, it may cause significant morbidity. Case presentation: We report a case of vaginocutaneous fistula following transobturator mid-urethral sling procedure and a successful reconstruction with transvaginal sling excision and fistula closure. Conclusion: Vaginocutaneous fistula is a known but rarely seen long-term complication of transobturator tape. With an increased use of mesh, various delayed complications can be seen in the long-term follow-up. This case showed us the need for longer and detailed studies that evaluate the effectiveness and safety of the transobturator tape procedure.